Compendium (Newtown, Pa.)
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Compendium (Newtown, Pa.) · Nov 1994
Safety, efficacy, and acceptance of intramuscular sedation: assessment of 900 dental cases.
Intramuscular (IM) sedation techniques remain the least used by clinicians, possibly because of their limited exposure in the undergraduate and graduate dental curricula. To assess the safety and efficacy of these techniques, the authors conducted a retrospective study of 900 dental cases. A total of 308 patients received ketamine, 356 received a meperidine/promethazine combination, and 236 received midazolam. Results revealed a high safety record, efficacy, and good evaluations from clinicians and patients, in addition to some advantages over other sedation techniques.
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It is well understood that the palatal mass can pose a difficult diagnostic dilemma for the clinician. The differential diagnosis of the palatal mass includes the palatal abscess, benign and malignant salivary gland neoplasms, the benign neural tumors, and the traumatic or irritation fibroma. ⋯ Emphasis is placed on the importance of obtaining a thorough, comprehensive health and dental history and collecting relevant laboratory information. Ultimately, a biopsy of the palatal mass may be necessary to render a definitive diagnosis and determine the optimal treatment and management of the patient.
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Compendium (Newtown, Pa.) · Jul 1992
Review Comparative StudyAdjunct use of dexamethasone in postoperative dental pain control.
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Several recent articles in the Compendium have emphasized the importance of differentiating between acute and chronic pain for purposes of appropriate clinical management. The patient with long-standing pain complaints that has not responded favorably to appropriate medical, surgical, or pharmacologic treatment poses a formidable management problem. After clarifying the clinical and experiential differences between acute and chronic pain, this article will discuss clinical signs that may identify the chronic pain patient. Strategies for enlisting cooperation with referral procedures, common resistances, and tactics for dealing with nonadherence will be presented to provide the dentist with interpersonal directions for optimizing patient involvement in multidisciplinary pain treatment programs.